title: Clinical practice guideline: tympanostomy tubes in children--executive summary.
abstract: The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Tympanostomy Tubes in Children. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 12 recommendations developed address patient selection, surgical indications for and management of tympanostomy tubes in children. The development group broadly discussed indications for tube placement, perioperative management, care of children with indwelling tubes, and outcomes of tympanostomy tube surgery. Given the lack of current published guidance on surgical indications, the group focused on situations in which tube insertion would be optional, recommended, or not recommended. Additional emphasis was placed on opportunities for quality improvement, particularly regarding shared decision making and care of children with existing tubes.
authors.affiliation: Department of Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, New York 11201, USA. richrosenfeld@msn.com
authors.forename: Richard M
authors.initials: RM
authors.lastname: Rosenfeld
authors.forename: Seth R
authors.initials: SR
authors.lastname: Schwartz
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Pynnonen
authors.forename: David E
authors.initials: DE
authors.lastname: Tunkel
authors.forename: Heather M
authors.initials: HM
authors.lastname: Hussey
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Fichera
authors.forename: Alison M
authors.initials: AM
authors.lastname: Grimes
authors.forename: Jesse M
authors.initials: JM
authors.lastname: Hackell
authors.forename: Melody F
authors.initials: MF
authors.lastname: Harrison
authors.forename: Helen
authors.initials: H
authors.lastname: Haskell
authors.forename: David S
authors.initials: DS
authors.lastname: Haynes
authors.forename: Tae W
authors.initials: TW
authors.lastname: Kim
authors.forename: Denis C
authors.initials: DC
authors.lastname: Lafreniere
authors.forename: Katie
authors.initials: K
authors.lastname: LeBlanc
authors.forename: Wendy L
authors.initials: WL
authors.lastname: Mackey
authors.forename: James L
authors.initials: JL
authors.lastname: Netterville
authors.forename: Mary E
authors.initials: ME
authors.lastname: Pipan
authors.forename: Nikhila P
authors.initials: NP
authors.lastname: Raol
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Schellhase
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008876:Middle Ear Ventilation / Q000009:adverse effects / Q000295:instrumentation; D010033:Otitis Media / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018579:Patient Selection
keywords: grommets; guideline; otitis media; pediatric otolaryngology; tympanostomy tubes